RE: Rural Health and Z00.00

Does anyone have an issue when billing for Rural Health claims to Medicare Part A (UB claim) and the patient presents for IPPE (G0402 (0521) and the only dx option you have is Z00.00 but Medicare Part A will not allow a Z dx as primary but they cover IPPE 1x in a lifetime?

What other dx could we list as primary is they will not accept a Z dx primary?

Thanks,
Tina Bradshaw, CPC, COSC

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